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Inspection Summary


Overall summary & rating

Good

Updated 9 April 2019

About the service:

Holmewood is a residential care home that was providing personal care to people aged 65 and over. At the time of the inspection there were 23 people living or staying in the home.

People’s experience of using this service:

¿ People told us they felt safe and happy. There were positive and caring relationships between staff and people, and this extended to relatives and other visitors. Staff understood the importance of providing person-centred care and treated everyone as individuals, respecting their abilities and promoting independence.

¿ Staff knew how to recognise and report any concerns they had about people's welfare and how to protect them from abuse.

¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

¿ Care plans included risk assessments, which identified any risks, associated with people’s care and had been devised to help minimise and monitor the risks without placing undue restrictions on people.

¿ People's medicines were managed safely.

¿ The provider ensured incidents and accidents were fully investigated.

¿ Staff were recruited safely and only suitable staff were employed to work in the service.

¿ There were enough staff to keep people safe and to meet people’s individual needs, and the staff told us they received good training and support. Staff knew people well and had built good relationships. There was also a good mix of staff.

¿ People were encouraged to make decisions about meals, and were supported by staff if they needed any assistance with eating and drinking.

¿ People were involved and consulted about all aspects of their care and support.

¿ Staff spoke to people in a caring and positive way, treated people with respect and were mindful of their rights and dignity.

¿ There was a nice, relaxed atmosphere and people were relaxed and smiling in the staff’s presence.

¿ The environment was clean and fresh and good signage made it easy for people to find their way around the building.

¿ People and their relatives were encouraged to give the views about the service. People could join in activities if they wished and comments received were positive.

¿ The registered manager showed effective leadership and the home was well run.

¿ Staff knew their roles and understood what was expected of them.

¿ Staff felt supported by management and each other.

¿ People, their relatives and staff told us management were approachable and that they listened to them when they had any concerns or ideas.

¿ Feedback was used to make continuous improvements in the service. The provider had good oversight of the service and used effective systems to monitor quality and safety. Where improvements were needed or lessons learnt, action was taken.

Rating at last inspection:

Requires Improvement (report published 27 December 2017). The overall rating has improved following this inspection.

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 9 April 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 9 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 9 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 9 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 9 April 2019

The service was well-led

Details are in our Well-Led findings below.